Neuromodulatory regulation of gonadotropin-releasing hormone pulsatile discharge in women

Am J Obstet Gynecol. 1990 Nov;163(5 Pt 2):1727-31. doi: 10.1016/0002-9378(90)91436-g.

Abstract

The pulsatile release of gonadotropin-releasing hormone and the consequent secretion of gonadotropins are regulated by a complex interplay of steroids, neuropeptides, catecholamines, and environmental factors. Estrogen and progesterone influence the amplitude and frequency of luteinizing hormone pulsatile secretion. These effects lead to both a diurnal variation in pulse frequency, with a lower frequency at night, and variation during the menstrual cycle, with a lower frequency and increased amplitude during the luteal phase. Opioid peptides inhibit the pulsatile discharge of gonadotropin-releasing hormone and luteinizing hormone. The opioid antagonist, naloxone, causes an increase in luteinizing hormone secretion, particularly during the luteal phase. The administration of opioid receptor agonists, such as beta-endorphin, results in a decline in serum luteinizing hormone during the early follicular phase. Corticotropin-releasing factor, which is increased during stress, inhibits pulsatile luteinizing hormone secretion, and this effect can be blocked by the simultaneous administration of naloxone. These observations suggest that corticotropin-releasing factor exerts its effects on luteinizing hormone through an opioidergic intermediary. Endogenous catecholamines such as dopamine inhibit pulsatile luteinizing hormone release; however, the mechanism involved is not clear.

Publication types

  • Review

MeSH terms

  • Adult
  • Catecholamines / physiology*
  • Circadian Rhythm
  • Corticotropin-Releasing Hormone / pharmacology
  • Dopamine / physiology
  • Endorphins / physiology*
  • Estradiol / blood
  • Female
  • Gonadal Steroid Hormones / physiology*
  • Gonadotropin-Releasing Hormone / metabolism*
  • Humans
  • Luteinizing Hormone / blood
  • Luteinizing Hormone / metabolism
  • Menopause
  • Menstrual Cycle / physiology
  • Middle Aged
  • Naloxone / pharmacology
  • Progesterone / blood
  • beta-Endorphin / pharmacology

Substances

  • Catecholamines
  • Endorphins
  • Gonadal Steroid Hormones
  • Gonadotropin-Releasing Hormone
  • Naloxone
  • Progesterone
  • Estradiol
  • beta-Endorphin
  • Luteinizing Hormone
  • Corticotropin-Releasing Hormone
  • Dopamine